Active NPI
Kristene Vega, RN
- Registered Nurse
- Kansasville, WI
National Provider Identifier
1609166966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 175297-030
- Practice address
- 2320 Lakeshore Dr
Kansasville, WI 53139-9557 - Phone
- (262) 878-5380
- NPI assigned
- Apr 7, 2011
- Last updated
- Apr 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 175297-030 | WI | Primary |
Addresses
Primary practice location
2320 Lakeshore Dr
Kansasville, WI 53139-9557
Mailing address
2320 Lakeshore Dr
PO Box 122
Kansasville, WI 53139-9557
Phone (262) 878-5380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175297-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1609166966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 LAKESHORE DR",
"address_2": "PO BOX 122",
"city": "KANSASVILLE",
"state": "WI",
"postal_code": "531399557",
"telephone_number": "262-878-5380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 LAKESHORE DR",
"city": "KANSASVILLE",
"state": "WI",
"postal_code": "531399557",
"telephone_number": "262-878-5380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "KRISTENE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-07",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "175297-030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansasville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.